NPPES file of Aug 9, 2026

Sumit Duggal

Cardiovascular Disease Physician · Frederick, MD

Sumit Duggal is a cardiovascular disease physician with a practice address in Frederick, Maryland, and NPI 1386806784, issued on Jun 26, 2008. Check the license (Maryland M85207, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1386806784
Name
Sumit Duggal
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
M85207 MD
Self-reported in NPPES; status is on the state search
Practice location
1050 Key Pkwy Ste 102, Frederick, MD 21702
Phone
(301) 558-3839
Enumerated
Jun 26, 2008
Record last updated
Apr 21, 2026
Fax
(844) 689-4146
Medicaid ID
103048459 PA
Medicare enrollment
Enrolled (PECOS I20180824000926); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1050 Key Pkwy Ste 102

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Festus Agyekum, PA-CPhysician Assistant1508070913
  2. Sydney Danielson, CRNPFamily Nurse Practitioner1477228880
  3. Amy Evans-Kegley, APRN-CNPFamily Nurse Practitioner1447975032
  4. Juby GeorgePhysician Assistant1710685888
  5. Maya JaajahPhysician Assistant1104605674
  6. Erika Loppatto, DNP, CRNP, FNP-CFamily Nurse Practitioner1255943593

Verify Sumit Duggal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaryland Board of Physicians
    Search for license M85207
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Maryland license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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98% more Medicare Part D claims than the average cardiovascular disease physician in 2024

6,091 Medicare Part D claims for 792 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. Sumit Duggal6,091
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate735 claims
  2. Atorvastatin Calcium635 claims
  3. Eliquis438 claims
  4. Rosuvastatin Calcium309 claims
  5. Lisinopril304 claims
  6. Amlodipine Besylate275 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 93.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score98.0
  2. Costout of 100 · 30%79.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $38.06

2 payments; by number, the most common kind was food and beverage; the largest payer was Esperion Therapeutics, Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sumit Duggal$38.06
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

  1. Augusta Health Care IncFishersville, VA
  2. Augusta Medical GroupFishersville, VA
  3. Cardiovascular Specialists OF Frederick, LLCFrederick, MD
  4. Privia Medical Group, LLCWaldorf, MD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sumit Duggal among 613 cardiovascular disease physician records in Maryland

Sumit Duggal is one of 613 cardiovascular disease physician records with a practice address in Maryland. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 73% of them.

  • NPI issued2008 · 73% of these records are older, 23% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2003 · median 1997 among the 389 with a school on file
  • Record last updated2026 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Maryland

There are 613 cardiovascular disease physician records in Maryland.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Samir Ahuja, M.D.Frederick, MD 217021679778658
  2. Richard Howard, MDFrederick, MD 217021447249255
  3. Anwar Malik, M.B.,B.S.Frederick, MD 217021407948771
  4. Sara Mekuria, M.D.Frederick, MD 217021861650111
  5. Aimee Park, M.D.Frederick, MD 217021265435978
  6. Hitesh Patel, MDFrederick, MD 217021144200619
  7. Edward Riuli, M.D.Frederick, MD 217021932102654
  8. Nirmal Shah, M.D.Frederick, MD 217021194728816

Common questions

What is Sumit Duggal's NPI number?

Sumit Duggal's National Provider Identifier (NPI) is 1386806784, issued on Jun 26, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Sumit Duggal located?

The NPPES record lists a practice address at 1050 Key Pkwy Ste 102, Frederick, MD, 21702. Phone: (301) 558-3839. Providers update this record themselves, so call before visiting.

How can I verify Sumit Duggal's license?

NPPES lists Maryland license number M85207, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sumit Duggal prescribe under Medicare Part D?

In 2024, Sumit Duggal had 6,091 Medicare Part D claims for 792 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Sumit Duggal's MIPS final score?

The 2023 MIPS final score is 93.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.